Healthcare Provider Details

I. General information

NPI: 1164036166
Provider Name (Legal Business Name): PEAKVIEW DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2020
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 28TH ST STE 300
BOULDER CO
80303-1756
US

IV. Provider business mailing address

1200 28TH ST STE 300
BOULDER CO
80303-1756
US

V. Phone/Fax

Practice location:
  • Phone: 303-417-1644
  • Fax: 303-417-1790
Mailing address:
  • Phone: 303-417-1644
  • Fax: 303-417-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM KWIATKOWSKI
Title or Position: OWNER
Credential: DMD
Phone: 773-744-2308